Dykstra, Michelle Lee
Dykstra, Michelle Lee is an individual health care provider with primary practice located at 610 Jefferson St , Oregon City OR 97045. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dykstra, Michelle Lee can be contacted via phone (503) 657-7235.Contact Information
Primary practice address
610 Jefferson St
Oregon City OR 97045
Phone: (503) 657-7235
Fax: (503) 657-7676
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1412 | Oregon |
Profile Details
| NPI number | 1013072586 |
|---|---|
| LBN Legal business name | Dykstra, Michelle Lee |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013072586 | NPPES |
| Other | 279270 | MHN HMC |
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